PBH PROFESSIONAL GROUP, P.A.
NPI 1124791744
Preventive Medicine - Addiction Medicine in College Station, TX

Q: What is Pbh Professional Group, P.A.'s NPI number?

The NPI number for Pbh Professional Group, P.A. is 1124791744. It was assigned to this organization in the NPPES registry on July 29, 2021. The provider is doing business as PATH Brazos Valley Professional Group.

Q: What is Pbh Professional Group, P.A.'s specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Active since July 29, 2021

3550 NORMAND DR STE 100, COLLEGE STATION, TX 77845(979) 218-5916(979) 401-4170 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pbh Professional Group, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PBH PROFESSIONAL GROUP, P.A. (NPI 1124791744), doing business as Path Brazos Valley Professional Group, is a healthcare organization registered as an addiction medicine in College Station, Texas and active in the NPI registry since July 2021. The organization lists Flora Sadri-azarbayejani, President And Secretary, as its authorized official.

NPPES Registry Identity

NPI1124791744

Entity TypeOrganization

Primary Taxonomy2083A0300X

Legal Business NamePBH PROFESSIONAL GROUP, P.A.

Location Address3550 NORMAND DR STE 100College Station, TX 77845-6399

Mailing Address103 Powell Ct Ste 100Brentwood, TN 37027-5050 · (615) 308-7871 · Fax (615) 261-8901

Phone(979) 218-5916

Fax(979) 401-4170

Organization SubpartNo

Authorized OfficialFlora Sadri-azarbayejaniPresident And Secretary · (413) 522-9246

Enumeration DateJuly 29, 2021

NPPES CertifiedJuly 29, 2021

✔ NPI 1124791744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083A0300X

Definition

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

Also ListedRegistered NurseTaxonomy 163W00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

3550 NORMAND DR STE 100, College Station, TX 77845

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Other Names 1

Doing Business AsPath Brazos Valley Professional Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pbh Professional Group, P.A.'s NPI number?

The NPI number for Pbh Professional Group, P.A. is 1124791744. It was assigned to this organization in the NPPES registry on July 29, 2021. The provider is doing business as PATH Brazos Valley Professional Group.

Where is Pbh Professional Group, P.A. located?

Pbh Professional Group, P.A. is located at 3550 Normand Dr Ste 100, College Station, TX 77845. The listed phone number is (979) 218-5916.

What is Pbh Professional Group, P.A.'s specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

When was this NPI record last updated?

The NPPES record for Pbh Professional Group, P.A. was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.